AVA Synopsis:
The study used high content screening (HCS) to “screen multiple compounds for biological activity and toxicity” to assess “possible mechanistic pathways in intact biological systems.” The study compared combustible cigarette smoke condensate and e-liquids’ effects in normal human bronchial epithelial cells, including assessing cellular health, energy production and oxidative stress.
The authors found that all tested e-liquids “were typically non-cytotoxic and had no effect on most HCS endpoints.” Indeed, the study found that e-liquids, with or without nicotine, “had little to no effect on cell viability.”
Flavors did create some effects including cell cycle arrest, but these “were only observed at concentrations several orders of magnitude higher” than cigarette condensate. The authors conclude that flavors are “critical” in helping smokers quit and remain smoke-free.
Implications:
The study adds to the growing evidence that flavors do not pose significant risks to users of electronic cigarettes and vapor products. As critical as flavors are in the use of such products, policymakers and public health should refrain from policies that would limit flavors in vapor products.
Highlights:
- High Content Screening was used to assess a selection of e-liquids.
- Endpoints included Cellular Health, Energy production and oxidative stress.
- Cigarette smoke condensate induced effects in all endpoints from 0.001% concentration. E-Liquids were active at concentrations 100 times higher than those for cigarette condensate.
- Flavours play a critical role in attracting, and retaining smokers to e-cigarettes
Abstract:
There is scientific agreement that the detrimental effects of cigarettes are produced by the formation of Harmful and Potentially Harmful Constituents from tobacco combustion and not by nicotine. For this reason numerous public health bodies and governments worldwide have indicated that e-cigarettes have a central role to play in tobacco harm reduction.
In this study, high content screening (HCS) was used to compare the effects of neat e-liquids and 3R4F reference cigarette smoke condensate (CSC), which served as a positive control, in Normal Human Bronchial Epithelial (NHBE) cells. The endpoints measured covered cellular health, energy production and oxidative stress. Base liquids, with or without nicotine, and commercial, flavoured, nicotine-containing e-liquids (CFs), had little or no effect on cell viability and most HCS endpoints even at significantly higher concentrations (typically 100 times or higher) than 3R4F CSC. CSC induced a dose-dependent decrease of cell viability and triggered the response in all HCS endpoints. Effects of CFs were typically observed at or above 1%. CF Menthol was the most active flavour, with minimum effective concentrations 43 to 659 times higher than corresponding 3R4F CSC concentrations. Our results show a lower biological activity of e-liquids compared to cigarette smoke condensate in this experimental setting, across wide range of cellular endpoints.
Read Report
